{"hospital":{"ccn":"100291","name":"ORLANDO HEALTH MELBOURNE HOSPITAL","city":"MELBOURNE","state":"FL","zip":"32935","phone":"321-752-1200","ownership":"Voluntary non-profit - Private","website_domain":"orlandohealth.com","system":null},"version":3,"status":"published","eligibility":{"free_care_max_fpl":{"value":"225","layer":"documented","quote":"If a validated financial statement application reflects an income at or below 225% of the most current Federal Poverty Level for the stated family size, the account will qualify for financial assistance in its entirety.","source_id":"billing-31fc297f19bde56f","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"discount_tiers":null,"asset_test":{"value":true,"layer":"documented","quote":"Based on current Federal Poverty Guidelines, you may qualify for assistance with all of your hospital bill through a review of your income, assets, and other resources.","source_id":"billing-31fc297f19bde56f","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"residency":null,"insured_patients_covered":null,"min_balance":null,"services_excluded":null},"programs":{"presumptive":null,"state_programs":null},"apply":{"form_url":{"value":"https://orlandohealth.getbynder.com/asset/e5745225-90ee-443c-8d74-477a975b21b6/Web-English-GFSA-PDF-Document.pdf","layer":"documented","quote":"[Guarantor Financial Statement Application (GFSA) - English](https://orlandohealth.getbynder.com/asset/e5745225-90ee-443c-8d74-477a975b21b6/Web-English-GFSA-PDF-Document.pdf)","source_id":"billing-31fc297f19bde56f","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"form_version":null,"documents_required":{"value":["bank_statements","tax_return","pay_stubs"],"layer":"documented","quote":"Paperwork might include bank statements, income tax forms, check stubs, or other documents.","source_id":"billing-31fc297f19bde56f","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"documents_reported":null,"submit_methods":{"value":[{"kind":"in_person","detail":"Patients can get help with the financial assistance program application process at Orlando Health business office locations"},{"kind":"mail","detail":"You can apply for help with your bill in person or by mail."}],"layer":"documented","quote":"Patients can get help with the financial assistance program application process at Orlando Health business office locations before, during or after the patient's hospital stay. You can apply for help with your bill in person or by mail.","source_id":"billing-31fc297f19bde56f","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"window_days_from_first_bill":null,"decision_days":null,"decision_days_reported":null},"collections":{"eca_wait_days":{"value":240,"layer":"documented","quote":"Bills that are not paid 240 days after the first billing date may be reported on the patient/guarantor credit history.","source_id":"billing-31fc297f19bde56f","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"collection_agencies":null},"contacts":{"phone":{"value":"(321) 841-2596 or (877) 793-0145","layer":"documented","quote":"Phone [(321) 841-2596](tel:3218412596) or [(877) 793-0145](tel:8777930145)","source_id":"billing-31fc297f19bde56f","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"hours":{"value":"Monday – Friday, 8:30 am – 4:30 pm","layer":"documented","quote":"Open Monday – Friday, 8:30 am – 4:30 pm","source_id":"billing-31fc297f19bde56f","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"languages":{"value":["English","Spanish","Portuguese","Haitian Creole"],"layer":"documented","quote":"[Financial Assistance Policy - Haitian Creole](https://orlandohealth.getbynder.com/asset/2daa87f7-f038-4c70-9c60-820a745a1358/OH-Financial-Assistance-Policy-01-2026-Creole-PDF-Document.pdf)","source_id":"billing-31fc297f19bde56f","checked_on":"2026-10-14","confidence":1.0,"support_count":0}},"coverage":{"facilities":null,"provider_list_url":null},"sources":[{"id":"fap-fffb12cea02798d7","kind":"hospital_web","url":"https://www.orlandohealth.com/facilities/bayfront-hospital/patient-information/financial-information/financial-assistance-program","title":"Financial Assistance Program","fetched_on":"2026-10-14","sha256":"fffb12cea02798d751c0f37006e2c1056480af7e88ebef2789e6a610895e2ba3","effective_date":null},{"id":"billing-31fc297f19bde56f","kind":"hospital_web","url":"https://orlandohealth.com/Patients-and-Visitors/Patient-Financial-Resources/Pay-Your-Bill/Financial-Assistance","title":"Financial Assistance","fetched_on":"2026-10-14","sha256":"31fc297f19bde56fc103f35b5bd5cc2630694f7241fe54f908d135d638d286b6","effective_date":null},{"id":"fap-2dfb7534d218eef0","kind":"hospital_web","url":"https://www.orlandohealth.com/patients-and-visitors/patient-financial-resources/-/media/files/orlando-health/patients-and-visitors/patient-financial-resources/financial_assistance_policy_english.pdf?la=en","title":"Financial Assistance Policy - Orlando Health","fetched_on":"2026-10-14","sha256":"2dfb7534d218eef0b1248f0a7525d612c5300f41022f9ea3d311889ee3998a76","effective_date":null},{"id":"billing-f3bc202f901ac37a","kind":"hospital_web","url":"https://www.orlandohealth.com/patients-and-visitors/patient-financial-resources/pay-your-bill/financial-assistance","title":"Financial Assistance","fetched_on":"2026-10-14","sha256":"f3bc202f901ac37a2bc8e03d91041a31e2fa1462352f83237715e527b5375ccf","effective_date":null},{"id":"billing-5f5e3594964431fe","kind":"hospital_web","url":"https://orlandohealth.com/patients-and-visitors/patient-financial-resources/pay-your-bill/financial-assistance","title":"Patient Financial Assistance","fetched_on":"2026-10-14","sha256":"5f5e3594964431fe10d2794a44189065a4508b9a3038514e31becb758db00e68","effective_date":null}],"accuracy":null}